| NPI | 1417544347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1030708) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1030708) |
| 163W00000X Registered Nurse (Licence: TX 893684) | |
| Enumeration Date | 2020-12-26 |
| Last Update Date | 2026-04-22 |